Peux-tu me donner les dernières recommandations pour une crise asthmatique ?

Guideline-aligned answer with reasoning, red flags and references. Clinically reviewed by Dr Kola Tytler MBBS CertHE MBA MRCGP.

Posted: 29 April 2026Updated: 29 April 2026 Guideline-Aligned (High Confidence) Clinically Reviewed
Dr Kola Tytler MBBS CertHE MBA MRCGPClinical Lead • iatroX

Assessment and initial management: Asthma exacerbation is an acute or subacute worsening of symptoms and lung function from usual status, which may be life-threatening . Initial assessment includes asking about symptom nature, triggers, medication use, and previous exacerbations, supported by clinical examination for wheeze and objective lung function tests if possible ,.

Pharmacological treatment: For people aged 12 and over, NICE recommends use of anti-inflammatory reliever (AIR) therapy or maintenance and reliever therapy (MART) with an inhaled corticosteroid (ICS)/formoterol combination inhaler for both maintenance and relief ,. This approach reduces exacerbation rates and provides rapid symptom relief ,,.

Follow-up and review: After an exacerbation, patients should be reviewed within 2 working days by a healthcare professional trained in asthma management ,. This review should assess inhaler technique, adherence, asthma control, and include an updated personalised asthma action plan ,.

Severe exacerbations and hospital care: Severe exacerbations may require hospital treatment with oxygen, nebulised bronchodilators, and systemic corticosteroids ,. Oral corticosteroids should be used promptly when indicated, including during pregnancy, as benefits outweigh risks ,.

Monitoring and prevention: Ongoing asthma management involves regular assessment, optimising treatment, controlling modifiable risk factors, and educational support to reduce future exacerbations ,.

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